$300.00 USD

MOTHER’S NAME

MOTHER’S BIRTHDATE-

MOTHER’S CELL NUMBER #-

MOTHER’S EMAIL FOR ZOOM EVITE/PDF BOOK

FATHER OR SUPPORT PERSON’S NAME

FATHER’S OR EMERGENCY CONTACT #-

Birthing Companion’s Name

Birth Companion’s Relationship to Mother (please circle): Spouse/Partner Other Family Member (specify): ______ Doula Other (specify): ______

BIRTHING FACILITY

CARE PROVIDER

DOULA OR BIRTHING ASSISTANT

Home Address: City, State, Zip Code for hypnoBirthing book delivery

Due Date

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Virtual Hypnobirthing

HypnoBirthing®, The Mongan Method, is considered the “Gold Standard” of childbirth education. It is a method that empowers women to achieve a more gentle, natural birth. It is both a philosophy and a set of tools for using breath along with deep relaxation to achieve a more comfortable, and calm birth. With HypnoBirthing® you will be aware and fully in control, but profoundly relaxed.

This 5-week class will be led by Julie Sullivan Fields, a Certified Master Doula and Master HypnoBirthing trainer. Pregnant women attend the classes with the support person of their choice: husband, life partner, family member, labor companion, etc. Jules uses exciting and fun methods to engage you and your partner in the lessons and techniques. All materials included